Basic Information
| Provider Information | |||||||||
| NPI: | 1407935224 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FREITAS | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19020 33RD AVE W | ||||||||
| Address2: | STE 210 | ||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980364748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4255631500 | ||||||||
| FaxNumber: | 4255631374 | ||||||||
| Practice Location | |||||||||
| Address1: | 1229 MADISON STREET | ||||||||
| Address2: | SUITE 1150 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981043587 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063866300 | ||||||||
| FaxNumber: | 2063866316 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2006 | ||||||||
| LastUpdateDate: | 09/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | MD00026307 | WA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 0439400 | 01 | WA | L & I - RADIA KING | OTHER | 0439407 | 01 | WA | L & I - SEATTLE RADIOLOGY | OTHER | 8127557 | 05 | WA | MEDICAID | 1009734 | 05 | WA | MEDICAID | 0439403 | 01 | WA | L & I - SWEDISH RADIA EDMONDS | OTHER | 0164537 | 01 | WA | L AND I | OTHER | 0439399 | 01 | WA | L & I - RADIA | OTHER | 0439406 | 01 | WA | L & I - SOUTH SOUND RADIOLOGY | OTHER | 0439408 | 01 | WA | L & I - VANCOUVER RADIOLOGISTS | OTHER | 0439405 | 01 | WA | L & I - EVERGREEN RADIA | OTHER |